Name: ______________________________

Designation: _________________________
Dept: _______________________________
Joining Date: _________________________
Resignation Date: _____________________
Relieving Date: _______________________

Clearance from Dept. Head

List of Activities Status (Pending/Completed)
1
2
3
4
5
6
7
8
9
10

Handling Over done to ___________________________________________

Employee Signature: __________________________________

Date: ____________________________

Signature of person to whom handing over done: _____________________

Date: ______________________

Signature: _________________________

Date: ______________________
 Clearance from HR
Not Handed Received By with
List of Items Handed Over Over Signature
1
2
3
4
5
6
7
8
9
10

Handling Over done to ___________________________________________

Employee Signature: __________________________________

Date: ____________________________

Signature of person to whom handing over done: _____________________

Date: ______________________

Signature: _________________________

Date: ______________________